Pedia Flashcards
(100 cards)
1
Q
- a 15 month old boy came to the ER complaining of abdominal discomfort,
emesis, stool with blood and mucus on physical examination he has
increased abdominal sound. X-ray report shows obstructive bowel (
written like this )
A- give antibiotic
B- Go to OR and do surgery
C- Barium enema
D- bowel rest, IV hydration and wait until symptoms gone
A
C- Barium enema
2
Q
- Child 5 months, nurse said he has developmental delay in milestones,
what would you do to reassure the mother ?
A. Pincer grasp
B. wave bye bye
C. Reach things
C. Sit without supp
A
C. Reach things
3
Q
- A 6 months old baby known case of G6PD came to hospital , on
examination there is pallor conjunctive No mention of jaundice In labs
HGb was only low There was no mention of reticulocyte No mention of
iron profile Others labs was normal Diagnosis:
A- physiological anemia of newborn
B- thalasemia trait
C - G6PD hemolysis
A
B- thalasemia trait
4
Q
- 1 year old girl with lesions on face scalp trunk and extensors. That are
itchy. She also has them on her cheeks, her parents say that it’s crusty,
cracky and weepy.
A. infantile eczema
B. idiopathic urticaria
C. drug induced allergy
D. early childhood eczema
A
A. infantile eczema
5
Q
- 7 years old girl came with Vascular malformation on her cheek. What is
the most likely diagnosis.
A- Venous malformation.
B- Lymphatic malformation.
C- AV malformation.
D- Hemangioma.
A
D- Hemangioma.
6
Q
- A Term baby presented with respiratory distress symptoms. His body is
covered with meconium secretion. Which of the following is the most
beneficial intervention.
A- Intravenous fluid.
B- Inhaled nitrous oxide.
A
B- Inhaled nitrous oxide.
7
Q
- 2 years old. Sore throat. Fever. On examination there is Tonsillitis and
exudates with purulent discharge.
Which of the following is the causative organism:
A- Measles
B- Haemohpilaus influenza B
C- Ebstien bar Virus
D- Coxackie virus
A
C- Ebstien bar Virus
8
Q
- A child came with signs of moderate dehydration. You start him on
ORS. Which of following is the best step?
A-Lactose free formula
B-ORS for 1 day and then normal formula
C-ORS for 5 days then, normal formula
D-IV fluid
A
B-ORS for 1 day and then normal formula
9
Q
- A full term born came with respiratory distress and chest X ray showed
fluid in the fissures. He is born by cesarean section. Most likely diagnosis
A-Transient tachypnea of newborn
B-Sepsis
C- Meconium aspiration
D-Hyaline membrane disease
A
A-Transient tachypnea of newborn
10
Q
- 4 years old boy and known nephrotic syndrome. He came with fever
and abdominal pain Most likely cause
A-Pancreatitis
B-Peritonitis
C-Hepatitis
D-Appendicitis
A
B-Peritonitis
11
Q
- 13 year came from Africa Sign & symptom of upper resp flu like
symptoms , developed meningitis> CSF viral infection what is the
organism
A- polio
B- EPV
C- CMV
A
B- EPV
12
Q
- At which year the bedwetting consider alarm?
A- 5 Years
B- 6 years
C- 7 Years
D- 8 years
A
C- 7 Years
13
Q
- 6 y old Child he did tympanostomy 12 months ago for drainage. He
came complaining of purulent discharge coming out from the
tympanostomy With bad smell. He like to swim. What is the causative
organism suspected?
A- staph. Aureus
B- streptococcus pyogenes
C- S. Pneumoniae
D-Pseudomonas aeruginosa
A
D-Pseudomonas aeruginosa
14
Q
- Child came to with his mother to your clinic. He said to you ( hi ) and
then he said to his mother something , then his mother touch his head
and he said ( no ) Then his mom ask him what is this he said lip then she
touch his body ( I think ) and ask who this he said ( me )What is his age in
year ?
A-15m
B-18m
C-1 y
D-2 y
A
D-2 y
15
Q
- 6 years old child presents with pallor and organomegaly investigations
shows pancytopenia ( this is the hole case )
A- acute myeloid
B-acute lymphoblastic
C- chronic myeloid
A
B-acute lymphoblastic
16
Q
- Mom come to clinic for nutrition advice for her completely BREAST
FEED baby doctor advice iron supplemnt next month what is the age of
baby :
A-3 month
B-6 month
A
A-3 month
17
Q
- A child knows the colors and can articulate words properly, what is the
age of the child?
A-3
B-4
C-5
D-6
A
B-4
18
Q
- child with unilateral gynecomastia
A-tell him this is present in all men in some degree
B-reassure as it will resolve in years
C-cold comprss bandage
A
B-reassure as it will resolve in years
19
Q
- Neoborn with tachypnea , tachycardia and difficulty feeding , on
oscultation there was parasternal heave and single S1 heart sound , what is
the essential part of the initial management?
A-NSAID
B-Diuretics
C-Dopamine
D-Prostaglandine
A
D-Prostaglandine
20
Q
- picture of stepping reflex and ask what time this reflex well disappear
A- 2 m
B- 4 m
C- 6 m
A
A- 2 m
21
Q
- Child had type 1 diabetes and consulting the family regarding celiac
screening , which of the following is true
A- Screen at diagnosis then every 5 years
B- Screen at diagnosis then every 2 years
C- Screen annually
D- Screen at diagnosis then annually for 5 years
A
B- Screen at diagnosis then every 2 years
22
Q
- Case of female child who lives in poor family with distended abdomen
and pitting edema there are lab results but I don’t remember them:
A - marasmus
B - Kwashiorkor
A
B - Kwashiorkor
23
Q
- What is the age of a child who can walk with one hand held, says
mama/baba and other words, holds seeds by pincer grip but doesn’t place
them in the container?
A- 9 months
B- 12 months
C- 15 months
A
A- 9 months
24
Q
- 12-year-old complain of recurrent epigastric pain with occasional
vomiting since 1 year stool analysis is positive for blood and mucus and
positive blood occult test what is the dx:
A- Abdominal migraine
B- Irritable bowel syndrome
C- Inflammatory bowel disease
D- Gastritis with peptic ulcer
A
D- Gastritis with peptic ulcer
25
135. 9 month old child presented with rash noticed by parents , both parents
had eczema before What is the typical site according the child age ?
A- upper back
B- diaper area
C- scalp , cheeks, forehead
D - dorsum of feet
C- scalp , cheeks, forehead
26
139. Young asthma pt has symptoms after exertion but now present at the
clinic asymptomatic. Spirometry was done and was inconclusive. What’s the
next step?
A- repeat spirometry
B- methacholine challenge test
D. Give corticosteriods
B- methacholine challenge test
27
141. What is the age in month of child talk 6-10 words, know 2 body parts,
immature pencil grasp?
A-17
B-19
C-12
D-24
A-17
28
142. Baby came with clear picture of UTI and urine analysis showed UTI.
Mum said she had these symptoms multiple times. What to do?
A-Renal US
B-Voiding cystourethrogram
C-Renal US and cystourethrogram
D-Reassurance
C-Renal US and cystourethrogram
29
143. Typical case of hemolytic anemia and blood film show
spherocytosis,Hb:8, MCV MCHC normal range, WBC: 3, PLT: 500, LDH
AST ALT high, low haptoglobin most appropriate treatment?
A-blood transfusion
B-corticosteroids
C-hydroxyurea
B-corticosteroids مصححة
30
166. 6 m boy presented with abnormal movement and yellowish
discoloration for 1 week. He is exclusively breast feeding 2 week ago his
mother started to introduce fruit and fruit juice,
since that, pt started vomiting, irritable, On examination:
Hepatosplenomegaly, Distended abdomen Generalized jaundice * Urine:
positive reducing substances (normal is negative). Dx?
A Tyrosinemia
B galactosemia
C Alpha 1 anti trypsin def
D congenital fructose intolerance
D congenital fructose intolerance
31
167. Newborn/infant with stridor worse when prone
improves when supine, mother is concerned, what todo?
A Start laser treatment
B tell her it will resolve on its own by first
birthday
C Tell her it will get worse
D-Do Laryngoscope
B tell her it will resolve on its own by first
birthday
32
169. Child 6yrs old presented with history of 6month left knee and wrist pain
with limitations of movement and especially morning difficulty movement
Otherwise no systemic symptoms What is the most likely diagnosis?
A) rheumatic fever
B) reactive arthritis
C) septic arthritis
D) juvenile idiopathic arthritis
D) juvenile idiopathic arthritis
33
170. Child 2 yrs old with fever and reduced feeding and crying excessivly for
1 day no focus of infection mother denies any vomiting or diarrhoea on
examination there was redness and no light reflex on ear tympanic
membrane which of the following is the most appropriate intial
management?
A) steroids
B) Amoxicillin
C) refer to surgery
D) other very un relvant option
B) Amoxicillin
34
172. child presented with URTI symptoms two days ago, now has SOB what
is the most common organism?
A- RSV
B- influenza
C- parainfluenza
D- adeno
A- RSV
35
179. scenarios about a child 2 years old with SOB and Expiratory wheeze
and other respiratory symptoms he had a viral illness 2 days ago
A.Respiratory monitoring for hypoxia
B. Inhaled epinephrine and steroids
C. Intubation and antibiotics
D. SABA
A.Respiratory monitoring for hypoxia
36
184. months old child came to clinic with his mother for taking hepatitis A
vaccine, The mother tells you that he is a know sickle cell disease patient
and that he received blood transfusion 1 week ago, what to do?
A. Give vaccine as per schedule
B. Check his hep A serology first
C. Delay for one month
D. Delay vaccine for 6 months
A. Give vaccine as per schedule
37
186. Mother came with her child for preschool Vaccination
Which of the following is important Vaccine to give :
A-RV
B-OPV
C-Meningococcal ( MCP4 )
D-Hib
B-OPV
38
197. Child hypoglycemia & seizure & metabolic acidosis & characteristics
smell & positive ketone Diagnosis?
A. Phenylketonuria
B. maple syrup urine disease
C. Galactosemia
B. maple syrup urine disease
39
198. Recommendation that at which age if you present A peanut and
eggs to the Child will decrease production of allergy? Age in month
A. 10
B. 14
C. 20
D. 24
A. 10
40
199. A 2 years old boy who took BCG vaccine came with his mother
becuase of his grandfather had open TB and they live in the same house,
the boy asymptomatic but the mother worried what should you do?
A- nothing since he took BCG vaccine
B- PPD, X-ray and wait for the result
C- IGRA, X-ray and give INH
D- IGRA, X-ray and give 4 TB drug
B- PPD, X-ray and wait for the result
41
204. Child with Sx of tracheomalacia. How to confirm the diagnosis?
A) chest XR
B) bronchoscopy
C) Fluoroscopy
B) bronchoscopy
42
209. six year old girl presenting to the pediatric emergency department
with unstable gait and progressive difficulty climbing the stairs over the last
10 days the parents reported that the child has been “choking on her own
saliva” the symptoms began was prickly sensation in the fingers and toes
that developed to ascending and symmetrical there is a history of viral
gastroenteritis three weeks before physical examination confirms the
absence of the knee-jerk reflex CSF analysis of weighted protein
concentration with normal cell count.
Nerve conduction test reduced velocity
which off the following is most appropriate treatment:
A- plasma exchange
B- IVIG
C- MTX
D- steroids
B- IVIG
43
210. case mentioning that a child has “certain amount of” cafe au lait
spots and axillary freckling and many other features and his cousin has this
as well, what type of inheritance is that condition?
A- autosomal dominant
B- autosomal recessive
C- x linked
A- autosomal dominant
44
214. Infant sit in tripod position,role from prone to supine, reach object
A-4mo
B-6mo
C-12 mo
D-24mo
B-6mo
45
215. child came with pallor and jaundice. His father and grandfather are both
known to have chronic hemolysis and underwent gallbladder removal.
What is the best test for diagnosis?
A. Hb electrophoresis,
B. Sickle cell test,
C. Coombs test,
D. Osmotic fragility test.
D. Osmotic fragility test
46
217. Child AOM WITH HIGH GRADE FEVER what is the organsim:
A-fungal
B- bactrial
C vira
B- bactrial
47
224. Scenario of Pediatric with history of 2 episode of pneumonia , FTT, rectal
prolapse . FH negative. What is the most approbate management ?
A⁃ sweat chloride test
B⁃ CFTR gene for sibling
B⁃ CFTR gene for sibling
48
230. Child diagnosed with epilepsy on medication, what is true regarding his
vaccination?
A- Give all.
B- Don’t give live vaccination.
C- Hold Dtap.
A- Give all
49
231. 9-month Hx of MI came to the clinic for smoking cessation. He was in
respiratory distress and raised JVP nicotine tear in his hand. What is the most
appropriate drug?
A. Nicotine replacement therapy
B. Varenicline
C. Bupropion
D. Advice and behavioral
A. Nicotine replacement therapy
50
234. child had meningitis, and he contacted his brother & sister, what will give as
prophylaxis ?
A.penicillin + rifampicin 2 times
B. penicillin
C. Ciprofloxacin one dose
D. Ceftriaxone 3 doses IM
C. Ciprofloxacin one dose
51
243. 15 month child with fever and ear discharge .common organism??
A.viral
B.bacterial
C.fungal
B.bacterial
52
244. A case of pertussis presenting with whooping cough , post tussive vomiting ...
definitive diagnosis ?
A- Culture
B- Serology
C- Nasopharyngeal PCR
C- Nasopharyngeal PCR
53
247. 11 year old girl with exercise intolerance and weight (did not mention loss or
gain) Hx is unremarkable and PE is normal Bp:160/100 HR:130 T:36.6 O2: 95
ECHO shows normal heart function and anatomy. What is the most appropriate ?
management?
1- ABG
2-electrolyte level
3-CBC (anemia )
4-TFT
4-TFT
54
268. 2 day old infant came to hospital with complaints of seizure and decreased
feeding since yesterday. Inactive child with generalized increased muscle tone. CSF
analysis is normal.
What is the most likely diagnosis?
A.Hypoxic ischemic encephalopathy
B. Neonatal sepsis
C. Neonatal tetanus
D. Pyogenic meningitis
C. Neonatal tetanus
55
269. child born 5 hour ago presented with central cyanosis and there is different
between oxygen saturation in upper and lower extremities what is the initial Mx
A- IV prostaglandin infusion
B- oxygen therapy
C- surgery referral
A- IV prostaglandin infusion
56
279. Scenario chid with bloody diarrhea doctor prescribed ( i remember say
consultant) acetaminophen and probiotic Child not improved , now present ill with
convulsion and petechic rash on extremities Labrotary ( low HB , low plateat,
decrease potassium )
A- heamolytic ureamic syndrome
B- idiopathic thrombothytopenic purpura
C-thrombotic thrombocytopenia purpura
D- not remember
A- heamolytic ureamic syndrome
57
281. Baby born in 38 week ( not preterm ) via C/S and after that develoe tachycardia
and tachypnea and grunting
A- Hyaline membrane disease
B- pulmonary "something"
C- Meconium Aspiration syndrome
D-Transient Tachypnea of the New born
D-Transient Tachypnea of the New born
58
286. Pediatric known of having febrile seizures , had fever ( and maybe vomiting ??
)and mother started giving him paracetamol every 4 hours because she was scared
of him having seizures, on examination he was jaundiced and had hepatomegaly
A- hemolytic uremic synderome
B- acute viral hepatitis
C- paracetamol toxicity
D- viral induced hemolysis ( something like this )
C- paracetamol toxicity
59
287. A 15 months old child is brought to the emergency department after having a
generalized tonic-clonic seizure that lasted approximately 5 minutes. The parents
say that the child had been previously well but developed cough and rhinorrhea
earlier that day with a temperature of 39.2 C. Which of the following is the most
appropriate management?
A. Diazepam.
B. Phenytoin.
C. Head CT scan.
D. Control of the fever
D. Control of the fever
60
293. Case scenario about asthmatic child with resp distress with ABG before&after
ttt The ph was 7.6 then become 7.3 I can't remember other reading what's ur
management
A-intubate in ER
B-refer to PICU
A-intubate in ER
61
309. Child develop spleen laceration and perisplenic fluid , what is the appropriate
management?
A-Laparotomy and splenectomy
B-Laparoscopic splenorrhaphy
B-Laparoscopic splenorrhaphy
62
321. Child exclusively drink cow milk and refuse to eat meat and the mother afraid
about him ? What to give ?
A-Multivitame and iron
63
325. Calculte Apgar score: Pink body, blue extermities
Heart rate : less than 100
Respiration: weak cry
Some movement in flexion
Reflux: some muscle ( cant remember this part well)
Apgar score is:
A- 3
B- 5
C- 7
D- 9
B- 5
64
326. Child will do surgery, weight 12 kg, calculate the amount of fluid he will need
A-1000
B-1200
C-1300
B-1200
65
330. 18m old mother said that the baby had smelly diarrhea and irritability in the
last two days. His birth weight was 2.8 kg, he was on breast feeding until 9m then
started on cow milk 1l per day along with solid food. Labs provided only HG (9)
and RBC (3) both was low. No fever, no vomiting. What is the cause?
A- GI infection
B- Bone marrow disease
C- Cow milk consumption
D- Weight at birth
C- Cow milk consumption
66
331. A child presented with sinusitis and recurrent lower respiratory tract
infections.Mcs of bronchial aspirate had pseudomonas aeruginosa.Whats the
diagnosis?
A.Cystic Fibrosis
B.Primary ciliary dyskinesia.
C.Kartagener's syndrome
A.Cystic Fibrosis
67
337. Boy short stature with webbed neck, what’s the diagnosis?
A- Noonan
B- Soto
C- Marfan
D- Turner
A- Noonan
68
344. milstone of 6month?
Sit without support and
69
351. Child with pneumonia and vomiting can’t tolerate oral intake, he look well no
distress but the vital showing hypotension
You will admite because he:
-Vital signs (hypotension)
-can’t tolerate oral
-can’t tolerate oral
70
358. Precocious puberty initial diagnosis or screening ?
Depends?
71
362. Milestones of three years old
......
72
371. Pyloric stenosis type of fluid resuscitation?
A normal saline
B ringer lactate
A normal saline
73
373. Delivery at home ?
A. vitamin k deficiency
74
374. Case about x fragile syndrome
Better recall: A pt with large ears, long face, macroorchidism, joint laxity, mitral valve prolapse,
dx?
A. Fragile X syndrome
B. hurler syndrome
C. hunter syndrome
A. Fragile X syndrome
75
374. Case about x fragile syndrome
Better recall: A pt with large ears, long face, macroorchidism, joint laxity, mitral valve prolapse,
dx?
A. Fragile X syndrome
B. hurler syndrome
C. hunter syndrome
A. Fragile X syndrome
76
375. baby with syndromatic features heart abnormality, club foot, overlapping
fingers….
A-patau
B-turner
C-edward
C-edward
77
376. newborn with umbilical hernia, asymptomatic, treatment
A- observation
B- surgery
C- surgical repair at 6 months
A- observation
78
377. child with whooping cough, vomiting after coughing ( i think scenario of
pertussis)
Most common complication
A-pneumonia
B-otitis media
C-dehydration
D-pneumothorax
A-pneumonia
79
378. child received dtap before and mother said he had complication of the
vaccine, which one is contraindication for dtap
A- seizure
B- encephalopathy for 7 days of the previous dose
B- encephalopathy for 7 days of the previous dose
80
379. neonate 4 hours old with erythematous macules on red base, management
A- call dermatologist for biopsy
B- reassure
C- antibiotic
B- reassure
81
380. child with febrile seizure and massive watery diarrhea, organism?
A- rota virus
B- salmonella
C- shiglla
D- i think combylobacter
A- rota virus
82
381. most common viral organism for otitis media
A- rhinovirus
B-adenovirus
C-ebv
A- rhinovirus
83
383. Iron deficiency anemia has more peak in childrens. At which age you would
screen childrens with high risk of iron deficiency anemia?
A. At birth
B. 2 months
C. 4 months
D. 12 months
D. 12 months
84
386. 2 years old with 2 weeks orbital puffiness. Which of the following is diagnostic
for Nephrotic Syndrome?
A. Low serum albumin
B. Hypertension
A. Low serum albumin
85
394. 5 years old with testicular enlargement and pubic hair, bone age 7 years What
should you do first
A-MRI brain
B-Ultrasound ovary
C-GnRH stimulation test
D-DHEAS
C-GnRH stimulation test
86
395. 6 years old boy with pubic hair , bone age 6 years , normal testicular size 2 cm
, Serum DEAS slightly high * Most likely cause
* A-Brain tumor
* B-Premature benign pubarche
* C-Congenital adrenal hyperplasia
* D-Testicular tumor
* B-Premature benign pubarche
87
399. A child with pica, hepatosplenomegally and failure to thrive. Coming from a
low socioeconomic economic status family. (Hgb normal, Lead high, PT normal, PTT
normal, INR normal, iron normal) What’s the most appropriate treatment?
A-Iron supplement
B- Penicillamine
C-Folic acid
D- Vitamin K
B- Penicillamine
88
412. 3y.o Child brought by his mother bc she noticed he is pale, he is peaky eater
drink a lot of milk , same problem with his older siblings. CBC microcytic anemia.
Iron profile: only TIBC was provided and it was very high 700, Dx?:
A- IDA
B- A Thalssemia
C- B12 def (not sure this one was in the choices)
D- Anemia of Chronic disease
A- IDA
89
414. Female, p6, feel heaviness and discomfort on her pelvic region, exam showed
mass coming from introitus , dx?
A- Rectocle
B- Cystocele
C- Uterine prolapse
D- Enterocoele
C- Uterine prolapse
90
417. 8 years old with diahrea , picky eater and drinking goat mild, Hb 8 , MCV low ,
MCHC high. Most likely cause
A-Hypothyroidism
B-Aplastic anaemia
C-Physiological deprivation
D-Giardiasis
C-Physiological deprivation
91
421. case of whooping cough (croup) and ask what u will find on auscultation ?
A- prolonged inspiration
B- prolonged expiration
A- prolonged inspiration
92
423. immunocompromised baby, what of the following is contraindicated vaccine :
A-Varicella
B-hib B
C-dtap
A-Varicella
93
434. 13 Y/O female brought by her mother who was concern about her daughter’s
height. Upon examination there were know signs of pubic hair or breast
development. Hight was 152 and weight was 37. No family hx of similar problem:
A- hermonal delay
B- familial delay
C- constitutional delay
D- psychosocial delay
C- constitutional delay
94
437. 2 years old baby, before 3 weeks had blood transfusion after acute sickle cell
attack. His mother bring him for hib A vaccination:
A- Give vaccine ber schedule
B- wait 3 months
C- wait 6 months
A- Give vaccine ber schedule
95
439. Heart block and patent ductus arteriosus in neonate 24 hours age. What is the
maternal factor?
A- Rubella
B- SLE
most likely B
96
440. Long scenario with Cynaotic baby with harsh ejection systolic murmur at left
sternal border and many other findings poor feeding what is your next mx?
IV diuretic
iv abx
sedation
pain mx
BETTER RECALL
An 18 months old child diagnosed with congenital heart disease, presented to the
ER with severe cyanosis and hypercyanotic spells. The mother mentioned that he
was irritable and crying inconsolable for the past 1 hour and the cyanosis is getting
worse. On examination, he looks cyanotic centrally with loud harsh ejection systolic
murmur at the left sternal border. BP 100/60, HR 95, RR 28, Temp 37.8, So2 85%.
Chest xray showing small heart with decreased pulmonary vascular marking. WHich
of the following is the most appropriate management?
A. Sedation and pain relief.
B. IV diuretics bo;us.
C. Immediate cardiac catheterization,
D. IV antibiotics and total parenteral nutrition.
A. Sedation and pain relief.
97
442. Uncurmcised boy uti 3 months abx?
better recall
Childe 4 months male uncircumscribed have uti what is the amiprical treatmen?
A. Oral cephalexin
B. Iv ceftriaxone
A. Oral cephalexin
98
445. 4 months old girl, during Pneumatic otoscope unilateral non-purulent effusion
and decrease tympanic membrane motility , no fever pr other symptoms, and no
hx of previous infectious diseases, breast feeding very well and no use of pacifier,
What’s the best next step?
A- use amoxicillin tx
B- use of amoxicillin and clavulanate
C- Observe and F/U for 48hrs
D- Refer for ENT to evaluation for tympanostomy tube
C- Observe and F/U for 48hrs
99
450. Infant boy US show bilateral hydronephrosis and thickened bladder wall .
What’s the highly diagnostic
investigation ?
A-IV pyelogram
B-MCUG
C-DMSA
B-MCUG
100
456. New born what to examin?
A-Hearing
B-Vision
C-Hearing and vision
A-Hearing
